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NPI Code Detail

MEDICARE: HOLLY SCHAAF

MEDICARE:   HOLLY  SCHAAF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse200041313OR

General Provider Information

NPI Number : 1407708738
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY SCHAAF
Provider Business Mailing Address
First Line : 1631 NE BROADWAY ST # 741
Second Line :
City : PORTLAND
State : OR
Zip : 97232-1425
Country : US
Telephone Number : 503-724-0747
Fax Number :
Provider Business Practice Location Address
First Line : 1631 NE BROADWAY ST # 741
Second Line :
City : PORTLAND
State : OR
Zip : 97232-1425
Country : US
Telephone Number : 503-724-0747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ HOLLY SCHAAF ” Practice Location

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